Long-term outcomes of shelf acetabuloplasty for developmental dysplasia of the hip in adults: a minimum 20-year follow-up study

Hirose, Shiro; Otsuka, Hiromi; Morishima, Takkan; Sato, Keiji

doi:10.1007/s00776-011-0159-7

Cited by 40 publications

(42 citation statements)

References 17 publications

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“…Kaplan-Meier survival analysis with THA as endpoint ( Figure 2) was documented by 5 studies (Migaud et al 2004, Fawzy et al 2005, Berton et al 2010, Hirose et al 2011, Tanaka et al 2018. Fawzy et al (2005) analyzed 76 hips from 67 patients with an average age of 33.…”

Section: Resultsmentioning

confidence: 99%

Long-term outcomes of the hip shelf arthroplasty in adolescents and adults with residual hip dysplasia: a systematic review

et al. 2020

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Background and purpose — The shelf arthroplasty was the regular treatment for residual hip dysplasia before it was substituted by the peri-acetabular osteotomy. Yet, evidence regarding the survival of shelf arthroplasty surgery has never been systematically documented. Hence, we investigated the survival time of the shelf procedure until revision to THA in patients with primary hip dysplasia. Factors that influenced survival and complications were also examined, along with the accuracy of correcting radiographic parameters to characterize dysplasia. Material and methods — The inclusion criteria were studies of human adolescents and adults (> 16 years) with primary or congenital hip dysplasia who were treated with a shelf arthroplasty procedure. Data were extracted concerning patient characteristics, survival time, complications, operative techniques, and accuracy of correcting radiographic parameters. Results — Our inclusion criteria were applicable to 9 studies. The average postoperative Center-Edge Angle and Acetabular Head Index were mostly within target range, but large variations were common. Kaplan–Meier curves (endpoint: conversion to THA) varied between 37% at 20 years’ follow-up and 72% at 35 years’ follow-up. Clinical failures were commonly associated with pain and radiographic osteoarthritis. Only minor complications were reported with incidences between 17% and 32%. Interpretation — The shelf arthroplasty is capable of restoring normal radiographic hip parameters and is not associated with major complications. When carefully selected on minimal osteoarthritic changes, hip dysplasia patients with a closed triradiate cartilage may benefit from the shelf procedure with satisfactory survival rates. The importance of the shelf arthroplasty in relation to peri-acetabular osteotomies needs to be further (re)explored.

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Section: Resultsmentioning

confidence: 99%

Long-term outcomes of the hip shelf arthroplasty in adolescents and adults with residual hip dysplasia: a systematic review

et al. 2020

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“…Various types of periacetabular osteotomy have been performed for adolescents and adults with developmental dysplasia, and good longterm results have been reported [4][5][6][7][8][9]. There are 3 important requirements for the success of joint-preserving surgery [10]: creation of a larger articular surface, preservation of muscle strength, and creation of a favorable condition for THA at a later stage.…”

Section: Discussionmentioning

confidence: 96%

“…Various types of acetabular osteotomies have been performed to delay progression of osteoarthritis or treat early osteoarthritis in adolescents and young adults; furthermore, many satisfactory long-term results have been reported [4][5][6][7][8][9]. However, some patients must undergo conversion arthroplasty because of continued pain or progression of hip arthritis after osteotomy [7,10].…”

mentioning

confidence: 96%

Total Hip Arthroplasty after Previous Acetabular Osteotomy: Comparison of Three Types of Acetabular Osteotomy

Tamaki

Oinuma

Miura

et al. 2016

The Journal of Arthroplasty

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“…The principle shelf procedure for DDH was originally described by Konig in 1891 [7] and seems to be a safer and simpler technique compared with periarticular acetabular osteotomies. Furthermore, several studies on the long-term results of shelf procedures have reported highly encouraging survival rates [8][9][10][11]. However, the most commonly used approach for the shelf procedure, the Smith-Peterson approach, exposes a large section of the iliac crest via a long skin incision and is relatively invasive.…”

Section: Introductionmentioning

confidence: 99%

Less invasive modified Spitzy shelf procedure for patients with dysplasia of the hip

Okanoue

Kawakami

Izumi

et al. 2014

Eur J Orthop Surg Traumatol

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The shelf procedure for developmental dysplasia of the hip (DDH) is a simpler technique compared with periarticular acetabular osteotomies. However, the most commonly used approach involves the exposure of a large section of the outer iliac surface via a long skin incision and is relatively invasive. We have developed a mini one-incision technique for shelf procedure using bioabsorbable material, based on a modified Spitzy method. In the present report, we describe this procedure and outcomes. For the procedure, the patients are positioned in the lateral position and a 6-8-cm skin incision is made. The interval between the gluteus medius and the tensor fascia lata is developed without any muscle splitting. Thereafter, image intensification is used for accurate positioning of a slot for the new shelf, and a bone graft for the new shelf is obtained from the internal cortex of the iliac wing. The patient is then positioned with the hip in flexion; through the same sliding skin incision, the bone graft is impacted into the slot, and bioabsorbable screws or plates are implanted to cover and stabilise the new shelf. Cancellous bone chips are packed into the triangular space surrounded by the outer iliac surface, the new shelf, and the bioabsorbable screws or plate. We performed this procedure in 9 patients (12 hips). No progression of osteoarthritis was observed during the follow-up period (mean 28 months). The advantages of this procedure include the small, single, skin incision and minimal removal of the gluteus medius from the outer iliac surface. Based on our results, we believe that this procedure could be effective for the treatment of DDH.

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Long-term outcomes of shelf acetabuloplasty for developmental dysplasia of the hip in adults: a minimum 20-year follow-up study

Cited by 40 publications

References 17 publications

Long-term outcomes of the hip shelf arthroplasty in adolescents and adults with residual hip dysplasia: a systematic review

Long-term outcomes of the hip shelf arthroplasty in adolescents and adults with residual hip dysplasia: a systematic review

Total Hip Arthroplasty after Previous Acetabular Osteotomy: Comparison of Three Types of Acetabular Osteotomy

Less invasive modified Spitzy shelf procedure for patients with dysplasia of the hip

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